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Expert Q&A:
What can I do about the rash around my 13-month-old's nostrils?

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Answered by Anthony Mancini M.D.


Dr. Mancini received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology, and dermatology at Stanford University. He is currently Associate Professor of Pediatrics and Dermatology at Northwestern University's Feinberg School of Medicine and Head of the Division of Dermatology at Children's Memorial Hospital in Chicago, Illinois.



Dr. Mancini has served as a member of the AAP Executive Committee, Section of Dermatology since 2001. He is a member of the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team, and is Secretary-Treasurer of the Society for Pediatric Dermatology. His teaching accomplishments include the Faculty Excellence in Education Award from the Department of Pediatrics at Northwestern, which he has received for the last eight years. Dr. Mancini is a peer reviewer and/or sits on the editorial board for several academic journals, and has published over 75 peer-reviewed articles, abstracts, and book chapters. He is co-author of Hurwitz Clinical Pediatric Dermatology, 3rd edition, and is an associate editor for the comprehensive dermatology textbook Dermatology. His special interests include infectious skin diseases and exanthems of childhood, vascular malformations and hemangiomas, and neonatal skin maturation and skin disorders.



Dr. Mancini is a Fellow of the American Academy of Pediatrics and the American Academy of Dermatology. He and his wife, Nicola, a neonatal intensive care nurse, have three children (Mallory, Christopher, and Mackenzie) and reside in Evanston, Illinois.

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Question


What can I do about the rash around my 13-month-old's nostrils?

Answer


This could be any of several different types of rashes, including seborrheic dermatitis or impetigo. Seborrheic dermatitis causes redness with "greasy" yellow scaling. Common sites include the creases outside the nostrils, the scalp, and the eyebrows. Hydrocortisone cream (1 percent, over-the-counter strength), applied two times per day is usually helpful. Impetigo, on the other hand, is a bacterial skin infection that produces small red bumps, blisters, and "honey-colored" crusting. The areas around the nostrils are a common site for this rash, and treatment requires antibiotics given by your doctor. Any rash that persists for this long should be evaluated by your son's pediatrician, who can give you the diagnosis and recommend the appropriate treatment.
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